What are the responsibilities and job description for the Medical Coding Specialist position at i3 Verticals?
JOB TITLE: Medical Coding Specialist
DEPARTMENT: Healthcare Vertical: ACS
REPORTS TO: Manager and/or Area Manager
SUPERVISORY RESPONSIBILITIES: no
JOB LOCATION: Mobile
TRAVEL: no
SUMMARY OF POSITION: Under the directions of the Coding Services Supervisor and Manager, this position will be responsible for CPT and ICD-10 coding and ensuring accuracy and maximum reimbursement and minimizing denials.
ESSENTIAL DUTIES & RESPONSIBILITIES:
- Assigns accurately and sequences appropriately ICD-10 and CPT codes and all applicable modifiers
- Contacts clients as appropriate when documentation in the medical record is inadequate, ambiguous or unclear for coding purposes.
- Monitors regulatory and payer changes as they apply to diagnostic and procedure coding
- Researches and resolves coding related system edits, payer rejections and insurance denials.
- Identify system edit, payer rejection and insurance denial trends for client policy and procedure improvement.
- Maintains up to date knowledge of the current changes of coding practices by continuing education and reading resource material.
- Other innovative and progressive duties as assigned
MINIMUM QUALIFICATIONS (EDUCATION AND EXPERIENCE): High School diploma or GED
PREFERRED QUALIFICATIONS (EDUCATION AND EXPERIENCE):
A successful candidate must have proficient knowledge/capabilities in the following areas:
- Nationally recognized coding credential including, but not limited to CPC, COC, CCS, CCS-P, RHIA or RHIT through AHIMA/AAPC.
- High school diploma or equivalent required.
- 1-3 years coding experience required, and outpatient physician and/or multi-specialty coding experience, preferred.
- Understanding of all or a combination of ICD-10, CPT, HCPCS, modifiers, medical terminology and HIPAA compliance.
- Possess strong written and verbal communication skills to communicate effectively with individuals at all levels of the organization.
- Ability to work under general supervision
- Ability to work in a fast-paced department and handle multiple tasks, work with interruptions, and deal effectively with confidential information.
- Possess excellent telephone etiquette, presentation skills and problem resolution skills
- Computer skills including Microsoft Office Suite
- Must be highly organized and detail-oriented
- Understands fully the requirements to meet HIPPA regulations. Must treat all patient information and data with complete confidentiality and takes all precaution to secure this information.
- Cooperates fully in all risk management activities and investigations for QM purposes.
